Active NPI
Dorothy O'Halloran, LCPC
- Professional Counselor
- Wheaton, IL
National Provider Identifier
1619007481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-005045
- Practice address
- 615 W Front St
Wheaton, IL 60187-5039 - Phone
- (630) 246-6988
- Fax
- (630) 246-6988
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-005045 | IL | Primary |
Addresses
Primary practice location
615 W Front St
Wheaton, IL 60187-5039
Mailing address
615 W Front St
Wheaton, IL 60187-5039
Phone (630) 246-6988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-005045 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dorothy O'Halloran P.C. | Professional | Current | Accepting new patients |
| Centennial Counseling Center, PC | Past | Accepting new patients |
Locations
615 W Front St
Wheaton, IL 60187
Phone (630) 246-6988
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Wheaton, IL
- NPI 1902575368
-
- Mental Health Counselor
- St Charles, IL
- NPI 1376544387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1619007481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 W FRONT ST",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875039",
"telephone_number": "630-246-6988",
"fax_number": "630-246-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W FRONT ST",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875039",
"telephone_number": "630-246-6988",
"fax_number": "630-246-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'HALLORAN",
"first_name": "DOROTHY",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-005045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.